Provider Demographics
NPI:1144537200
Name:EL-KHIDER, FARIS (MD MS)
Entity type:Individual
Prefix:DR
First Name:FARIS
Middle Name:
Last Name:EL-KHIDER
Suffix:
Gender:M
Credentials:MD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25200 CENTER RIDGE RD STE 2600
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4142
Mailing Address - Country:US
Mailing Address - Phone:440-331-5350
Mailing Address - Fax:440-331-5319
Practice Address - Street 1:25200 CENTER RIDGE RD STE 2600
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4142
Practice Address - Country:US
Practice Address - Phone:440-331-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.126627207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology